Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO

Chicago, IL · CCN 140224 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $6,168 across 19 payers · range $5,607-$9,083

Source: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/362235165_presence-chicago-hospitals-network_standardcharges.csv · observed 2026-01-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

25,581 distinct procedures filed
47 distinct payers
459,232 rate rows
2026-01-01 last MRF observed
Data quality

450,291 of 459,232 rate rows are consumer-grade (98.1%)

8,941 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,897
per-diem day rate — not a per-procedure price 2,668
placeholder amount (≤ $0.02) — excluded from medians 287
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 84
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/il-csv/362235165_presence-chicago-hospitals-network_standardcharges.csv
Found on page https://healthcare.ascension.org/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint ef269e435594c68c… · 124,756,364 bytes · first seen 2026-05-15

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $359,129.32 $581,789.50 $377,085.79 nat. median
$370,165
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $233,060.48 $377,557.98 $244,713.50 nat. median
$261,939
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $177,561.22 $287,649.18 $186,439.28 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $176,519.16 $285,961.04 $185,345.12 nat. median
$199,832
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $115,195.03 $186,615.95 $120,954.78 nat. median
$132,706
0.9× median
7
MS_DRG 		Lung Transplant 15 $107,700.21 $174,474.34 $113,085.22 nat. median
$122,690
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $99,946.75 $161,913.74 $104,944.09 nat. median
$114,305
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $94,240.80 $152,670.10 $98,952.84 nat. median
$108,240
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $94,132.69 $152,494.96 $98,839.32 nat. median
$96,134
1.0× median
90288
CPT 		Botulism Ig IV 1 $97,410.00 $97,410.00 $97,410.00 nat. median
$52,716
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $91,657.70 $148,485.47 $96,240.59 nat. median
$96,835
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $90,434.34 $146,503.63 $94,956.06 nat. median
$100,978
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $85,747.17 $138,910.42 $90,034.53 nat. median
$99,646
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 15 $82,807.29 $134,147.81 $86,947.65 nat. median
$98,002
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $81,358.56 $131,800.87 $85,426.49 nat. median
$92,900
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $74,928.25 $121,383.77 $78,674.66 nat. median
$81,124
1.0× median
27210000
CDM 		Hc Impella Heart Pump 18 $15,750.00 $131,250.00 $77,437.50 nat. median
$77,438
1.0× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $72,016.65 $116,666.97 $75,617.48 nat. median
$81,364
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $70,107.18 $113,573.63 $73,612.54 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $69,886.79 $113,216.60 $73,381.13 nat. median
$80,459
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $65,440.80 $106,014.10 $68,712.84 nat. median
$77,385
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $63,856.51 $103,447.55 $67,049.34 nat. median
$74,472
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $63,581.23 $103,001.59 $66,760.29 nat. median
$73,475
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $63,370.82 $102,660.73 $66,539.36 nat. median
$71,485
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $60,033.41 $97,254.12 $63,035.08 nat. median
$66,640
0.9× median
10
MS_DRG 		Pancreas Transplant 15 $59,676.64 $96,676.16 $62,660.47 nat. median
$67,750
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 $59,651.69 $96,635.74 $62,634.27 nat. median
$62,911
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 $59,334.83 $96,122.42 $62,301.57 nat. median
$69,153
0.9× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $59,299.90 $96,065.84 $62,264.90 nat. median
$68,581
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $57,481.92 $93,120.71 $60,356.02 nat. median
$65,958
0.9× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $57,199.99 $92,663.98 $60,059.99 nat. median
$65,792
0.9× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $55,979.13 $90,686.19 $58,778.09 nat. median
$64,357
0.9× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 $55,608.21 $90,085.30 $58,388.62 nat. median
$59,832
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 $55,567.46 $90,019.29 $58,345.83 nat. median
$62,262
0.9× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $54,683.42 $88,587.14 $57,417.59 nat. median
$63,840
0.9× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $54,683.42 $88,587.14 $57,417.59 nat. median
$60,895
0.9× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $54,484.65 $88,265.13 $57,208.88 nat. median
$59,159
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $53,514.12 $86,692.87 $56,189.83 nat. median
$62,218
0.9× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 $50,966.78 $82,566.18 $53,515.12 nat. median
$60,162
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 15 $50,907.73 $82,470.52 $53,453.12 nat. median
$60,294
0.9× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 15 $50,419.55 $81,679.67 $52,940.53 nat. median
$59,257
0.9× median
28
MS_DRG 		Spinal Procedures With Mcc 15 $49,967.97 $80,948.11 $52,466.37 nat. median
$56,970
0.9× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 $49,953.83 $80,925.20 $52,451.52 nat. median
$58,419
0.9× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $49,592.06 $80,339.14 $52,071.66 nat. median
$57,394
0.9× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 $49,429.06 $80,075.08 $51,900.51 nat. median
$51,433
1.0× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 15 $49,314.29 $79,889.15 $51,780.00 nat. median
$55,867
0.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 15 $48,806.15 $79,065.96 $51,246.46 nat. median
$57,082
0.9× median
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 $48,774.55 $79,014.77 $51,213.28 nat. median
$56,397
0.9× median
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 $47,962.03 $77,698.49 $50,360.13 nat. median
$53,268
0.9× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 $47,655.98 $77,202.69 $50,038.78 nat. median
$55,685
0.9× median

Other procedures at this hospital

Browse this hospital's 25,581 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 15 — — $359,129.32 $581,789.50 $377,085.79 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 15 — — $233,060.48 $377,557.98 $244,713.50 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 15 — — $177,561.22 $287,649.18 $186,439.28 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 15 — — $176,519.16 $285,961.04 $185,345.12 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 15 — — $115,195.03 $186,615.95 $120,954.78 2026-01-01
7 MS_DRG Lung Transplant 15 15 — — $107,700.21 $174,474.34 $113,085.22 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 15 — — $99,946.75 $161,913.74 $104,944.09 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 15 — — $94,240.80 $152,670.10 $98,952.84 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 15 15 — — $94,132.69 $152,494.96 $98,839.32 2026-01-01
90288 CPT Botulism Ig IV 1 1 — — $97,410.00 $97,410.00 $97,410.00 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 15 — — $91,657.70 $148,485.47 $96,240.59 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 15 — — $90,434.34 $146,503.63 $94,956.06 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 15 — — $85,747.17 $138,910.42 $90,034.53 2026-01-01
215 MS_DRG Other Heart Assist System Implant 15 15 — — $82,807.29 $134,147.81 $86,947.65 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 15 — — $81,358.56 $131,800.87 $85,426.49 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 15 — — $74,928.25 $121,383.77 $78,674.66 2026-01-01
27210000 CDM Hc Impella Heart Pump 23 18 $131,250.00 $43,312.50 67% off $15,750.00 $131,250.00 $77,437.50 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 15 15 — — $72,016.65 $116,666.97 $75,617.48 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 15 — — $70,107.18 $113,573.63 $73,612.54 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 — — $69,886.79 $113,216.60 $73,381.13 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 15 — — $65,440.80 $106,014.10 $68,712.84 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 15 — — $63,856.51 $103,447.55 $67,049.34 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 15 — — $63,581.23 $103,001.59 $66,760.29 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 15 — — $63,370.82 $102,660.73 $66,539.36 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 15 — — $60,033.41 $97,254.12 $63,035.08 2026-01-01
10 MS_DRG Pancreas Transplant 15 15 — — $59,676.64 $96,676.16 $62,660.47 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 15 — — $59,651.69 $96,635.74 $62,634.27 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 15 — — $59,334.83 $96,122.42 $62,301.57 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 15 — — $59,299.90 $96,065.84 $62,264.90 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 15 — — $57,481.92 $93,120.71 $60,356.02 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 15 — — $57,199.99 $92,663.98 $60,059.99 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 15 — — $55,979.13 $90,686.19 $58,778.09 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 15 — — $55,608.21 $90,085.30 $58,388.62 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 15 — — $55,567.46 $90,019.29 $58,345.83 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 15 — — $54,683.42 $88,587.14 $57,417.59 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 15 — — $54,683.42 $88,587.14 $57,417.59 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 15 — — $54,484.65 $88,265.13 $57,208.88 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 15 — — $53,514.12 $86,692.87 $56,189.83 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 15 — — $50,966.78 $82,566.18 $53,515.12 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 15 — — $50,907.73 $82,470.52 $53,453.12 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 15 — — $50,419.55 $81,679.67 $52,940.53 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 15 15 — — $49,967.97 $80,948.11 $52,466.37 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 15 — — $49,953.83 $80,925.20 $52,451.52 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 — — $49,592.06 $80,339.14 $52,071.66 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 15 — — $49,429.06 $80,075.08 $51,900.51 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 15 — — $49,314.29 $79,889.15 $51,780.00 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 15 — — $48,806.15 $79,065.96 $51,246.46 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 15 — — $48,774.55 $79,014.77 $51,213.28 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 15 — — $47,962.03 $77,698.49 $50,360.13 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 15 — — $47,655.98 $77,202.69 $50,038.78 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 15 — — $47,461.38 $76,887.44 $49,834.45 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 15 — — $47,399.83 $76,787.72 $49,769.82 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 15 — — $46,755.31 $75,743.60 $49,093.08 2026-01-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 15 — — $46,610.60 $75,509.17 $48,941.13 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 15 — — $46,291.25 $74,991.83 $48,605.81 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 15 — — $45,931.97 $74,409.79 $48,228.57 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 15 15 — — $45,656.70 $73,963.85 $47,939.53 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 15 — — $45,495.36 $73,702.48 $47,770.13 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 15 — — $45,430.49 $73,597.39 $47,702.01 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 15 — — $45,358.97 $73,481.53 $47,626.92 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 15 — — $45,177.67 $73,187.83 $47,436.55 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 15 — — $44,350.18 $71,847.29 $46,567.69 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 15 — — $44,323.57 $71,804.18 $46,539.75 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 15 — — $44,025.83 $71,321.84 $46,227.12 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 15 — — $43,880.30 $71,086.09 $46,074.32 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 15 — — $43,290.66 $70,130.87 $45,455.19 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 15 15 — — $43,215.81 $70,009.61 $45,376.60 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 15 — — $41,916.77 $67,905.17 $44,012.61 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 15 — — $41,477.66 $67,193.81 $43,551.54 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 15 — — $41,145.00 $66,654.90 $43,202.25 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 15 — — $41,071.82 $66,536.35 $43,125.41 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 15 — — $40,931.27 $66,308.66 $42,977.83 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 15 — — $40,760.78 $66,032.46 $42,798.82 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 15 15 — — $40,157.84 $65,055.70 $42,165.73 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 15 — — $39,954.91 $64,726.95 $41,952.66 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 15 — — $39,593.15 $64,140.90 $41,572.81 2026-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 15 — — $39,099.15 $63,340.62 $41,054.11 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 15 — — $39,019.31 $63,211.28 $40,970.28 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 15 — — $38,902.88 $63,022.67 $40,848.02 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 15 15 — — $38,563.56 $62,472.97 $40,491.74 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 15 — — $38,409.71 $62,223.73 $40,330.20 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 15 — — $38,226.75 $61,927.34 $40,138.09 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 15 — — $38,129.44 $61,769.69 $40,035.91 2026-01-01
245 MS_DRG Aicd Generator Procedures 15 15 — — $37,943.15 $61,467.90 $39,840.31 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 15 — — $37,829.22 $61,283.34 $39,720.68 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 15 — — $37,812.59 $61,256.40 $39,703.22 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 15 15 — — $37,664.55 $61,016.57 $39,547.78 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 15 15 — — $37,272.84 $60,382.00 $39,136.48 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 15 — — $37,262.03 $60,364.49 $39,125.13 2026-01-01
33367 CPT Hc Trcath Replace Aortic Valve- W/byp Prq Art/veno 1 1 $83,053.00 $27,407.49 67% off $39,034.91 $39,034.91 $39,034.91 2026-01-01
33368 CPT Hc Trcath Replace Aortic Valve- W/byp Open Art/ven 1 1 $83,053.00 $27,407.49 67% off $39,034.91 $39,034.91 $39,034.91 2026-01-01
33369 CPT Hc Trcath Replace Aorta Valve- W/byp Cntrl Art/ven 1 1 $83,053.00 $27,407.49 67% off $39,034.91 $39,034.91 $39,034.91 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 15 — — $37,115.66 $60,127.37 $38,971.44 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 15 — — $36,532.68 $59,182.94 $38,359.31 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 15 — — $35,988.78 $58,301.82 $37,788.22 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 15 — — $35,701.86 $57,837.01 $37,486.95 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 15 15 — — $35,472.32 $57,465.16 $37,245.94 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 15 — — $35,268.57 $57,135.08 $37,032.00 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 15 — — $35,122.20 $56,897.96 $36,878.31 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 15 — — $35,062.32 $56,800.96 $36,815.44 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 15 — — $35,044.86 $56,772.67 $36,797.10 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 15 — — $34,942.56 $56,606.95 $36,689.69 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 15 15 — — $34,900.98 $56,539.59 $36,646.03 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 15 — — $34,836.11 $56,434.50 $36,577.92 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 15 — — $34,701.39 $56,216.25 $36,436.46 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 15 15 — — $34,676.44 $56,175.83 $36,410.26 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 15 — — $34,538.38 $55,952.18 $36,265.30 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 15 — — $34,309.68 $55,581.68 $36,025.16 2026-01-01
242854 CDM Clottriever Suction Embolectomy Cath 16mmx115cm 1 1 $35,815.00 $11,818.95 67% off $35,815.00 $35,815.00 $35,815.00 2026-01-01
791 MS_DRG Prematurity With Major Problems 15 15 — — $33,756.63 $54,685.74 $35,444.46 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 15 15 — — $33,436.45 $54,167.05 $35,108.27 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 15 — — $33,133.73 $53,676.64 $34,790.42 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 15 — — $32,533.28 $52,703.91 $34,159.94 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 15 — — $32,386.08 $52,465.45 $34,005.38 2026-01-01
33365 CPT Hc Trcath Replace Aortic Valve Open Transaortic 1 1 $71,981.00 $23,753.73 67% off $33,831.07 $33,831.07 $33,831.07 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 15 — — $32,190.64 $52,148.84 $33,800.17 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 15 — — $32,142.40 $52,070.69 $33,749.52 2026-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 15 — — $32,111.63 $52,020.84 $33,717.21 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 15 — — $31,929.50 $51,725.79 $33,525.97 2026-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 15 — — $31,294.95 $50,697.82 $32,859.70 2026-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 15 — — $31,158.56 $50,476.87 $32,716.49 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 15 — — $31,084.54 $50,356.95 $32,638.77 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 15 — — $31,081.22 $50,351.58 $32,635.28 2026-01-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 15 — — $30,993.89 $50,210.10 $32,543.58 2026-01-01
33363 CPT Hc Trcath Replace Aortic Valve- Open Axillry Arter 1 1 $69,211.00 $22,839.63 67% off $32,529.17 $32,529.17 $32,529.17 2026-01-01
33364 CPT Hc Trcath Replace Aortic Valve- Open Iliac Artery 1 1 $69,211.00 $22,839.63 67% off $32,529.17 $32,529.17 $32,529.17 2026-01-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 15 15 — — $30,819.25 $49,927.19 $32,360.21 2026-01-01
204785 CDM Implantable Implant Device Micro-electronic Stimul 26 19 $100,464.00 $33,153.12 67% off $12,055.68 $100,464.00 $32,148.48 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 15 — — $30,547.30 $49,486.63 $32,074.67 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 15 — — $30,534.82 $49,466.41 $32,061.56 2026-01-01
36199047 CDM Hc Evasc Ven Artlz Tibl/prnl Vein With Guid, S&i 24 19 $67,253.00 $22,193.49 67% off $4,550.00 $67,253.00 $31,945.17 2026-01-01
33362 CPT Hc Trcath Replace Aortic Valve- Open Femoral Arter 1 1 $67,918.00 $22,412.94 67% off $31,921.46 $31,921.46 $31,921.46 2026-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 15 — — $30,176.38 $48,885.74 $31,685.20 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 15 — — $30,153.10 $48,848.02 $31,660.76 2026-01-01
332 MS_DRG Rectal Resection With Mcc 15 15 — — $30,111.52 $48,780.66 $31,617.10 2026-01-01
265 MS_DRG Aicd Lead Procedures 15 15 — — $30,090.72 $48,746.97 $31,595.26 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 15 — — $30,037.50 $48,660.75 $31,539.38 2026-01-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 15 — — $29,992.59 $48,588.00 $31,492.22 2026-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 15 15 — — $29,796.32 $48,270.04 $31,286.14 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 15 — — $29,727.29 $48,158.21 $31,213.65 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 15 — — $29,697.35 $48,109.71 $31,182.22 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 15 — — $29,653.28 $48,038.31 $31,135.94 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 15 — — $29,628.33 $47,997.89 $31,109.75 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 15 — — $29,600.05 $47,952.08 $31,080.05 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 15 — — $29,575.93 $47,913.01 $31,054.73 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 15 15 — — $29,328.93 $47,512.87 $30,795.38 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 15 — — $29,269.05 $47,415.86 $30,732.50 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 15 15 — — $29,010.41 $46,996.86 $30,460.93 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 15 — — $29,002.93 $46,984.75 $30,453.08 2026-01-01
36837 CPT Hc Perq Av Fistula Creation Uxtr Sep Access Sites 1 1 $64,559.00 $21,304.47 67% off $30,342.73 $30,342.73 $30,342.73 2026-01-01
33902 CPT Hc Perq P-art Revsc Stent Initial Abnor Unil 1 1 $64,559.00 $21,304.47 67% off $30,342.73 $30,342.73 $30,342.73 2026-01-01
36836 CPT Hc Perq Av Fistula Creation Uxtr Single Access 1 1 $64,559.00 $21,304.47 67% off $30,342.73 $30,342.73 $30,342.73 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 15 — — $28,869.86 $46,769.17 $30,313.35 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 15 — — $28,730.15 $46,542.84 $30,166.66 2026-01-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 15 15 — — $28,597.08 $46,327.27 $30,026.93 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 15 — — $28,512.25 $46,189.85 $29,937.86 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 15 — — $28,372.54 $45,963.51 $29,791.17 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 15 — — $28,335.11 $45,902.88 $29,751.87 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 15 15 — — $27,782.07 $45,006.95 $29,171.17 2026-01-01
48100019 CDM Hc Trcath Replace Aorta Valve- W/byp Cntrl Art/ven 26 19 $83,053.00 $27,407.49 67% off $6,025.00 $83,053.00 $29,068.55 2026-01-01
48100018 CDM Hc Trcath Replace Aortic Valve- W/byp Open Art/ven 26 19 $83,053.00 $27,407.49 67% off $6,025.00 $83,053.00 $29,068.55 2026-01-01
48100017 CDM Hc Trcath Replace Aortic Valve- W/byp Prq Art/veno 26 19 $83,053.00 $27,407.49 67% off $6,025.00 $83,053.00 $29,068.55 2026-01-01
238249 CDM Matrix Extracellular Placental Algft Axiofill 2000 1 1 $29,011.50 $9,573.80 67% off $29,011.50 $29,011.50 $29,011.50 2026-01-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 15 — — $27,471.86 $44,504.41 $28,845.45 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 15 15 — — $27,378.72 $44,353.53 $28,747.66 2026-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 15 15 — — $27,375.39 $44,348.13 $28,744.16 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 15 — — $27,051.88 $43,824.05 $28,404.47 2026-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 15 — — $26,932.95 $43,631.38 $28,279.60 2026-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 15 — — $26,903.01 $43,582.88 $28,248.16 2026-01-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 15 15 — — $26,865.59 $43,522.26 $28,208.87 2026-01-01
652 MS_DRG Kidney Transplant 15 15 — — $26,858.10 $43,510.12 $28,201.01 2026-01-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 15 — — $26,838.14 $43,477.79 $28,180.05 2026-01-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 15 — — $26,785.75 $43,392.92 $28,125.04 2026-01-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 15 15 — — $26,699.26 $43,252.80 $28,034.22 2026-01-01
169484 CDM Defib Crt Conn Is-1 Df4 Is4 Dynagen 5.37x8.18x0.99 26 19 $84,766.50 $27,972.95 67% off $10,171.98 $84,766.50 $27,972.94 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 15 — — $26,552.89 $43,015.68 $27,880.53 2026-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 15 — — $26,503.82 $42,936.19 $27,829.01 2026-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 15 — — $26,478.04 $42,894.42 $27,801.94 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 15 — — $26,424.82 $42,808.21 $27,746.06 2026-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 15 15 — — $26,320.03 $42,638.45 $27,636.03 2026-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 15 — — $26,280.11 $42,573.78 $27,594.12 2026-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 15 15 — — $26,205.26 $42,452.52 $27,515.52 2026-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 15 — — $26,192.79 $42,432.32 $27,502.43 2026-01-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 15 — — $26,131.24 $42,332.61 $27,437.80 2026-01-01
665 MS_DRG Prostatectomy With Mcc 15 15 — — $25,957.43 $42,051.04 $27,255.30 2026-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 15 — — $25,903.37 $41,963.46 $27,198.54 2026-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 15 — — $25,857.63 $41,889.36 $27,150.51 2026-01-01
662 MS_DRG Minor Bladder Procedures With Mcc 15 15 — — $25,460.93 $41,246.71 $26,733.98 2026-01-01
48100209 CDM Hc Percutaneous Transluminal Coronary Atherectomyw 18 13 $44,532.00 $14,695.56 67% off $5,343.84 $44,532.00 $26,719.20 2026-01-01
263 MS_DRG Vein Ligation And Stripping 15 15 — — $25,426.84 $41,191.48 $26,698.18 2026-01-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 15 15 — — $25,225.58 $40,865.44 $26,486.86 2026-01-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 20 18 — — $22,566.00 $38,901.11 $26,414.33 2026-01-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 15 — — $25,119.96 $40,694.34 $26,375.96 2026-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 15 — — $25,116.63 $40,688.94 $26,372.46 2026-01-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 15 — — $25,089.19 $40,644.49 $26,343.65 2026-01-01
50242015001 CDM Ocrelizumab 300 Mg/10ml IV Soln 27 20 $77,416.01 $25,547.28 67% off $9,289.92 $77,416.01 $26,321.44 2026-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 15 15 — — $24,753.20 $40,100.18 $25,990.86 2026-01-01
261940 CDM Shockwave E8 Balloon Cath 5x80mm 1 1 $25,897.00 $8,546.01 67% off $25,897.00 $25,897.00 $25,897.00 2026-01-01
48100262 CDM Hc Tcat Impl Wrls P-art Prs Snr 26 19 $73,702.00 $24,321.66 67% off $6,025.00 $73,702.00 $25,795.70 2026-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 15 15 — — $24,501.21 $39,691.96 $25,726.27 2026-01-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 15 15 — — $24,484.58 $39,665.02 $25,708.81 2026-01-01
570 MS_DRG Skin Debridement With Mcc 15 15 — — $24,459.63 $39,624.60 $25,682.61 2026-01-01
668 MS_DRG Transurethral Procedures With Mcc 15 15 — — $24,284.15 $39,340.32 $25,498.36 2026-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 15 — — $24,220.11 $39,236.58 $25,431.12 2026-01-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 15 — — $24,134.45 $39,097.81 $25,341.17 2026-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 15 — — $24,119.48 $39,073.56 $25,325.45 2026-01-01
974 MS_DRG HIV With Major Related Condition With Mcc 15 15 — — $24,001.39 $38,882.25 $25,201.46 2026-01-01
48100016 CDM Hc Trcath Replace Aortic Valve Open Transaortic 26 19 $71,981.00 $23,753.73 67% off $6,025.00 $71,981.00 $25,193.35 2026-01-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 15 15 — — $23,966.46 $38,825.67 $25,164.78 2026-01-01
27299087 CDM Hc Embolization Pipeline 23 18 $42,584.85 $14,053.00 67% off $5,110.18 $42,584.85 $25,125.06 2026-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 15 15 — — $23,869.99 $38,669.38 $25,063.49 2026-01-01
77424 CPT Io Rad Tx Delivery By X-ray 4 4 — — $8,114.66 $67,622.15 $25,049.47 2026-01-01
77425 CPT Io Rad Tx Deliver By Elctrns 4 4 — — $8,114.66 $67,622.15 $25,049.47 2026-01-01
33263 CPT Hc Remv&replc Cvd Gen Dual Lead 5 3 $36,199.00 $11,945.67 67% off $23,649.00 $25,245.00 $25,000.00 2026-01-01
33262 CPT Hc Remv&replc Cvd Gen Sing Lead 5 3 $34,755.00 $11,469.15 67% off $23,649.00 $25,245.00 $25,000.00 2026-01-01
33270 CPT Hc Ins/rep Subq Defibrillator 5 3 $60,081.00 $19,826.73 67% off $23,649.00 $25,245.00 $25,000.00 2026-01-01
33272 CPT Rmvl Of Subq Defibrillator 5 3 — — $23,649.00 $25,245.00 $25,000.00 2026-01-01
33264 CPT Hc Remv&replc Cvd Gen Mult Lead 5 3 $60,081.00 $19,826.73 67% off $23,649.00 $25,245.00 $25,000.00 2026-01-01
33271 CPT Insj Subq Impltbl Dfb Elctrd 5 3 — — $23,649.00 $25,245.00 $25,000.00 2026-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 15 — — $23,706.15 $38,403.96 $24,891.46 2026-01-01
48100269 CDM Hc Prq Trluml Pulmonary Art Balloon Angiop 1st Vs 20 15 $41,482.00 $13,689.06 67% off $4,977.84 $41,482.00 $24,889.20 2026-01-01
220524 CDM Mntr Cardiac Insertable Linq Ii 1 1 $24,795.00 $8,182.35 67% off $24,795.00 $24,795.00 $24,795.00 2026-01-01
800 MS_DRG Splenic Procedures With Cc 15 15 — — $23,364.35 $37,850.25 $24,532.57 2026-01-01
36199048 CDM Hc Perq Inj Algc W/fl, Lumbar, 1st Level 24 19 $51,556.00 $17,013.48 67% off $4,550.00 $51,556.00 $24,489.10 2026-01-01
654 MS_DRG Major Bladder Procedures With Cc 15 15 — — $23,280.35 $37,714.17 $24,444.37 2026-01-01
503 MS_DRG Foot Procedures With Mcc 15 15 — — $23,212.16 $37,603.70 $24,372.77 2026-01-01
48100064 CDM Hc Tcat Ins Perm Sngl Chmbr Ldls Pcmkr Rt Atrial 27 20 $67,485.00 $22,270.05 67% off $6,025.00 $67,485.00 $24,294.60 2026-01-01
48100068 CDM Hc Tcat Rmvl& Rplcmt Perm Sngl Chmbr Ldls Pcmkr Rt 27 20 $67,485.00 $22,270.05 67% off $6,025.00 $67,485.00 $24,294.60 2026-01-01
48100014 CDM Hc Trcath Replace Aortic Valve- Open Axillry Arter 26 19 $69,211.00 $22,839.63 67% off $6,025.00 $69,211.00 $24,223.85 2026-01-01
48100015 CDM Hc Trcath Replace Aortic Valve- Open Iliac Artery 26 19 $69,211.00 $22,839.63 67% off $6,025.00 $69,211.00 $24,223.85 2026-01-01
48100809 CDM Hc Revasc Lithotrip Tibi/per 27 20 $67,253.00 $22,193.49 67% off $6,025.00 $67,253.00 $24,211.08 2026-01-01
48100811 CDM Hc Revasc Lithotrip Tibi/per, Atherectomy 27 20 $67,253.00 $22,193.49 67% off $6,025.00 $67,253.00 $24,211.08 2026-01-01
48100810 CDM Hc Revasc Lithotrip Tibi/per, Stent 27 20 $67,253.00 $22,193.49 67% off $6,025.00 $67,253.00 $24,211.08 2026-01-01
48100812 CDM Hc Revasc Lithotrip Tibi/per, Stent & Atherectomy 27 20 $67,253.00 $22,193.49 67% off $6,025.00 $67,253.00 $24,211.08 2026-01-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 15 — — $23,052.48 $37,345.02 $24,205.10 2026-01-01
29888 CPT Knee Arthroscopy/surgery 3 3 — — $15,409.92 $40,871.35 $24,177.06 2026-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 15 — — $22,929.39 $37,145.61 $24,075.86 2026-01-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 15 15 — — $22,859.54 $37,032.45 $24,002.52 2026-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 15 15 — — $22,853.71 $37,023.01 $23,996.40 2026-01-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 15 — — $22,735.62 $36,831.70 $23,872.40 2026-01-01
240264 CDM Ablation Cath 115cm 8fr Irrigated Tip Df Cvd 1 1 $23,858.00 $7,873.14 67% off $23,858.00 $23,858.00 $23,858.00 2026-01-01
48100013 CDM Hc Trcath Replace Aortic Valve- Open Femoral Arter 26 19 $67,918.00 $22,412.94 67% off $6,025.00 $67,918.00 $23,771.30 2026-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 15 15 — — $22,627.51 $36,656.57 $23,758.89 2026-01-01
849 MS_DRG Radiotherapy 15 15 — — $22,533.53 $36,504.32 $23,660.21 2026-01-01
33249 CPT Hc Insj/rplcmt Defib W/lead(s) 8 4 $53,724.00 $17,728.92 67% off $8,750.00 $25,245.00 $23,649.00 2026-01-01
33240 CPT Hc Insrt Pulse Gen W/dual Lead 8 4 $42,905.00 $14,158.65 67% off $8,750.00 $25,245.00 $23,649.00 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 8 4 — — $8,750.00 $25,245.00 $23,649.00 2026-01-01
33230 CPT Hc Pp Insrt Dual Chmb Icd Only 8 4 $28,668.00 $9,460.44 67% off $8,750.00 $25,245.00 $23,649.00 2026-01-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 15 — — $22,506.09 $36,459.87 $23,631.39 2026-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 15 — — $22,432.90 $36,341.30 $23,554.55 2026-01-01
239159 CDM Cardiac System Insertable Monitor 1 1 $23,417.50 $7,727.78 67% off $23,417.50 $23,417.50 $23,417.50 2026-01-01
36199056 CDM Hc Perq P-art Revsc Stent Initial Abnor Unil 23 18 $64,559.00 $21,304.47 67% off $4,550.00 $64,559.00 $23,241.24 2026-01-01
36199060 CDM Hc Perq Av Fistula Creation Uxtr Sep Access Sites 23 18 $64,559.00 $21,304.47 67% off $4,550.00 $64,559.00 $23,241.24 2026-01-01
36199059 CDM Hc Perq Av Fistula Creation Uxtr Single Access 23 18 $64,559.00 $21,304.47 67% off $4,550.00 $64,559.00 $23,241.24 2026-01-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 15 15 — — $22,121.86 $35,837.41 $23,227.95 2026-01-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 15 — — $22,044.52 $35,712.12 $23,146.75 2026-01-01
209671 CDM Advance Cath 28mm Cardiac 10.5fr Polyurethane 1 1 $23,142.00 $7,636.86 67% off $23,142.00 $23,142.00 $23,142.00 2026-01-01
48100026 CDM Hc Revasc Lithotrip-stent-ather 27 20 $64,051.00 $21,136.83 67% off $6,025.00 $64,051.00 $23,058.36 2026-01-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 15 — — $21,933.91 $35,532.93 $23,030.61 2026-01-01
64628 CPT Hc Thermal Destr Ios Bv Nerve, 1st 2 Vert Bodies L 1 1 $48,750.00 $16,087.50 67% off $22,912.50 $22,912.50 $22,912.50 2026-01-01
33418 CPT Hc Transcat Mitral Valve Repair Initial Prosthesis 1 1 $48,645.00 $16,052.85 67% off $22,863.15 $22,863.15 $22,863.15 2026-01-01
253 MS_DRG Other Vascular Procedures With Cc 15 15 — — $21,586.28 $34,969.77 $22,665.59 2026-01-01
33274 CPT Hc Tcat Insertion/replacment Perm Ldls Pacemaker 1 1 $48,212.00 $15,909.96 67% off $22,659.64 $22,659.64 $22,659.64 2026-01-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 15 15 — — $21,560.50 $34,928.01 $22,638.53 2026-01-01
C1882 HCPCS Defib Crt Conn Is-1 Df4 Is4 Dynagen 5.37x8.18x0.99 1 1 $84,766.50 $27,972.95 67% off $22,593.35 $22,593.35 $22,593.35 2026-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 15 — — $21,479.83 $34,797.32 $22,553.82 2026-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 15 15 — — $21,449.89 $34,748.82 $22,522.38 2026-01-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 15 15 — — $21,449.89 $34,748.82 $22,522.38 2026-01-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 15 15 — — $21,353.42 $34,592.54 $22,421.09 2026-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 15 15 — — $21,232.00 $34,395.84 $22,293.60 2026-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 15 — — $21,131.37 $34,232.82 $22,187.94 2026-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 15 — — $21,091.45 $34,168.15 $22,146.02 2026-01-01
164 MS_DRG Major Chest Procedures With Cc 15 15 — — $20,990.82 $34,005.13 $22,040.36 2026-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 15 15 — — $20,981.67 $33,990.31 $22,030.75 2026-01-01
73475310203 CDM Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml 24 19 $68,612.56 $22,642.14 67% off $8,233.51 $68,612.56 $21,956.02 2026-01-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 15 15 — — $20,723.86 $33,572.65 $21,760.05 2026-01-01
545 MS_DRG Connective Tissue Disorders With Mcc 15 15 — — $20,639.03 $33,435.23 $21,670.98 2026-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 15 15 — — $20,451.91 $33,132.09 $21,474.51 2026-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 15 — — $20,446.09 $33,122.67 $21,468.39 2026-01-01
792 MS_DRG Prematurity Without Major Problems 15 15 — — $20,368.75 $32,997.38 $21,387.19 2026-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 15 15 — — $20,327.16 $32,930.00 $21,343.52 2026-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 15 15 — — $20,303.05 $32,890.94 $21,318.20 2026-01-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 15 15 — — $20,144.20 $32,633.60 $21,151.41 2026-01-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 15 15 — — $20,078.50 $32,527.17 $21,082.42 2026-01-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 15 15 — — $20,003.65 $32,405.91 $21,003.83 2026-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 15 15 — — $19,936.29 $32,296.79 $20,933.10 2026-01-01
397 MS_DRG Appendix Procedures With Mcc 15 15 — — $19,917.16 $32,265.80 $20,913.02 2026-01-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 15 15 — — $19,880.57 $32,206.52 $20,874.60 2026-01-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 15 15 — — $19,846.47 $32,151.28 $20,838.79 2026-01-01
113 MS_DRG Orbital Procedures With Cc/mcc 15 15 — — $19,552.90 $31,675.70 $20,530.55 2026-01-01
19318 CPT Breast Reduction 1 1 — — $20,496.81 $20,496.81 $20,496.81 2026-01-01
333 MS_DRG Rectal Resection With Cc 15 15 — — $19,478.88 $31,555.79 $20,452.82 2026-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 15 15 — — $19,448.94 $31,507.28 $20,421.39 2026-01-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 24 19 — — $9,446.00 $33,076.85 $20,417.81 2026-01-01
33300037 CDM Hc Rt Stereo Radiosurg Cranial Sgl 15 12 $34,025.00 $11,228.25 67% off $4,083.00 $34,025.00 $20,415.00 2026-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 15 15 — — $19,434.81 $31,484.39 $20,406.55 2026-01-01
709 MS_DRG Penis Procedures With Cc/mcc 15 15 — — $19,353.30 $31,352.35 $20,320.97 2026-01-01
0686T OTHER Histotripsy Mal Hepatcel Tis 2 2 — — $12,500.50 $28,126.13 $20,313.32 2026-01-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 15 15 — — $19,340.00 $31,330.80 $20,307.00 2026-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 15 15 — — $19,320.04 $31,298.46 $20,286.04 2026-01-01
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